Actual Exam Practice Questions with
Verified Answers
1. The primary steps in the AMLS Patient Assessment Pathway are
____________________. - ANSWER 1. Initial observations
First impression
Detailed assessment
Refine the differential diagnosis
Ongoing management
2. TRUE OR FALSE: The AMLS Primary Assessment Pathway is flexible. -
ANSWER TRUE
- Dynamic process
3. Expose/environment - ANSWER 1. It is necessary to expose a patient's
body to complete an assessment
2. Consider the effects of the environment on the patient
- EX: hypothermia, hyperthermia, toxic inhalation, etc.
4. The primary survey uses the mnemonic ________________________ to
determine the patient's level of consciousness (LOC). - ANSWER AVPU
5. AVPU - ANSWER A - Alert
V - Responds to verbal stimuli
P - Responds to painful stimuli
U - Unresponsive
,6. If a patient is determined to be alert, EMS should _________________. -
ANSWER Further define mental status (alert and oriented x 1, 2, or 3).
7. Alert and oriented x 3 - ANSWER 1. Person
2. Place
3. Time
8. Alert and oriented x 2 - ANSWER 1. Person
2. Place
9. Alert and oriented x 1 - ANSWER Person
10.Safety threats and situational clues are observed during the
_______________________. - ANSWER Initial observations
11.The components of the first impression include ______________________.
- ANSWER 1. Identify and treat life threats immediately
2. Determine if the patient is sick or not sick
3. Generate an initial differential diagnosis
12.The components of the first impression include
_______________________. - ANSWER 1. History
2. Secondary survey
3. Diagnostics
13.________________________ are taken during the patient history. -
ANSWER 1. OPQRST
2. SAMPLER
,14.Initial observations includes both the ___________________. - ANSWER
1. Scene/situation
2. Patient
15.Cardinal presentation/chief complaint and primary survey are observed
during the ____________________. - ANSWER Initial observations
16.Chief complaint - ANSWER What the patient, family member, or friend
reports to EMS as their primary concern.
- EX: "I can't breathe," "My chest hurts," "I have a headache," etc.
17.Cardinal presentation - ANSWER Conditions and complaints recognized by
medical providers as key concerns.
- EX: Seizure, syncope, altered mental status, etc.
18.TRUE OR FALSE: The cardinal presentation can be the same as the chief
complaint. - ANSWER TRUE
19.Primary survey - ANSWER Identifies life-threatening conditions and
establishes immediate management strategies
- 60 to 90 second rapid scan
20.The primary survey uses the mnemonic ________________________ to
prioritize the assessment order. - ANSWER XABCDE
21.XABCDE - ANSWER X - Exsanguination
A - Airway
B - Breathing
C - Circulation
D - Disability
, E - Expose/Environment
22.Exsanguination - ANSWER Identify and control severe external bleeding
23.Airway - ANSWER Look and listen for airway compromise and intervene
immediately.
- EX: Snoring, gurgling, inability to speak, etc.
24.Breathing - ANSWER Observe and listen for signs of respiratory distress
and intervene immediately.
- EX: Increased work of breathing, inability to speak in long sentences,
cyanosis, etc.
25.Circulation - ANSWER Check pulse for rate, quality, and regularity as well
as skin signs, and provide necessary interventions.
- EX: Resuscitation, treatment for shock, etc.
Disability - ANSWER A patient with an altered mental status should be
considered critical or "sick" until proven otherwise.
OPQRST - ANSWER O - Onset
P - Palliation/provocation
Q - Quality
R - Region/radiation/referral
S - Severity
T - Time/duration
Onset asks __________________. - ANSWER 1. What was the patient doing
when the pain started?
2. Did the pain start suddenly or gradually?